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Individual
MICHELLE BEATRICE DESHAZER
Active
Individual
MICHELLE BEATRICE DESHAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09944
NC
363A00000X
Physician Assistant
PA-793
AR
Other
Enumeration date
08/01/2011
Last updated
01/19/2023
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